评估与医生在收件箱上的时间相关的EHR效率工具和资源
Richa Bundy1, Adam Moses2, Elisabeth Stambaugh3
1Informatics and Analytics (I&A), Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, USA. rbundy@wakehealth.edu.
Journal of general internal medicine
|May 8, 2024
概括
电子健康记录 (EHR) 的收件箱给医生带来负担. 这项研究发现,EHR效率工具与医生收件箱时间之间没有关联,尽管更大的团队可能会略微增加它.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流的优化 临床工作流优化
- 医生倦怠研究研究 医生倦怠研究
背景情况:
- 医生在电子健康记录 (EHR) 收件箱中面临着越来越多的消息负担.
- 现有的研究强调需要工具来减少这种负担,但对花费时间的影响被低估了.
研究的目的:
- 调查当前EHR效率工具和临床资源与初级保健医生 (PCP) 收件箱时间之间的关系.
- 量化特定EHR工具对医生工作量的影响.
主要方法:
- 追溯性,横截面的研究设计.
- 分析来自学术卫生系统的115个社区PCP的收件箱时间数据.
- 收件箱时间正常化为8个预定的小时 (IB-Time8).
主要成果:
- 对于使用消息分类,自定义快速行动,遭遇专家或消息池的医生来说,收件箱时间没有显著差异.
- 对于每个额外的员工 (p = 0.03) 观察到每八个预定小时的收件箱小时增加0.01小时.
结论:
- 检查的当前EHR效率工具与减少医生收件箱时间无关.
- 较大的实践团队可能与医生的收件箱时间略有增加有关.
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